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| Section | Weight | Objectives |
|---|---|---|
| General Assessment | 15% | - Perinatal history collection - Growth and development assessment - Systematic physical assessment - Interpretation of diagnostic data |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Eyes, ears, nose and throat - Genetics and congenital anomalies - Musculoskeletal and integumentary system - Metabolic and endocrine system - Infectious diseases - Gastrointestinal system - Neurological system - Renal and genitourinary system - Cardiovascular system - Hematopoietic and immune system - Respiratory system |
| Pharmacology | 9% | - Safe administration principles - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages |
| General Management | 19% | - Fluids, electrolytes and acid-base balance - Thermoregulation - Resuscitation and stabilization - Pain management and sedation - Care coordination and family education - Nutrition and growth support |
| Professional Issues | 3% | - Ethics and legal aspects - Quality improvement and patient safety - Scope and standards of practice - Interprofessional collaboration |
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NEW QUESTION # 132
Insensible water loss in neonates includes
Answer: B
Explanation:
Insensible water losses (IWL) occur as water evaporates from the skin (2/3) or the respiratory tract (1/3). IWL cannot be directly measured. Premature neonates have thin skin that allows for increased amounts of evaporative water loss. As the skin matures and the stratum corneum develops (around 31 weeks of gestation) less water is lost through the skin. A full-term neonate will have an IWL of 12/ml/kg/24 hours at 50% humidity. Factors that increase IWL include prematurity, radiant warmers, phototherapy, fever, low humidity, and tachypnea. Sensible water losses occur via urination, stool, and gastric drainage and can be accurately measured.
NEW QUESTION # 133
How is hypospadias diagnosed?
Answer: B
Explanation:
Hypospadias is a congenital condition in which the urethral opening is on the underside of the penis. It is diagnosed by physical exam and no diagnostic testing is necessary. This condition results in the urine being sprayed during urination and the penis may curve down slightly. Surgical correction may be necessary if the condition is bothersome.
NEW QUESTION # 134
At which point in a pregnancy is the fetus most likely to suffer birth defects due to a Varicella infection in the mother?
Answer: A
Explanation:
The risk of birth defects due to Varicella infection is greatest in the second trimester. The risk at that point is approximately 2%, up from 0.5-1% in the first trimester. If the fetus contracts Varicella late in the pregnancy, there is a chance they will develop chicken pox rather than birth defects. Varicella infection can be severe in utero and may lead to small head size and intellectual disabilities.
NEW QUESTION # 135
A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for
Answer: B
Explanation:
A glucose bolus-associated occurrence of acute hypoglycemia can arise if a glucose bolus is given and not followed up with a continuous infusion because the body will produce more insulin to cover the bolus which will then start to use glucose stores as soon as the bolus stops. To prevent this, a steady infusion should be continued for a time period that is sufficient for the infant's insulin production to stabilize. Bedside tests for hypoglycemia with reagent sticks may overestimate hypoglycemia and should be confirmed with a serum level.
NEW QUESTION # 136
What change in arterial blood gas values would be expected in a patient with compensated respiratory acidosis?
Answer: C
Explanation:
Respiratory acidosis occurs when a person is not being adequately oxygenated. This results in an elevated PaCO: level and a decreased blood pH level. VVhen the body attempts to compensate for this abnormality, the serum bicarbonate (HCO;) level is elevated to offset the acidic level of the blood PH. This results in a continued PaCO:, a normal blood pH level, and an elevated HCOs level.
NEW QUESTION # 137
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